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Gastrostomy/Jejunostomy Tube, Standard

Missouri rates for HCPCS B4087

Gastrostomy/jejunostomy tube, standard, any material, any type, each

Rates data updated October 2026.

How much does Gastrostomy/Jejunostomy Tube, Standard cost?

$26.92

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $66.07 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.92$25.12 to $30.20
FacilityA hospital or hospital-owned outpatient department$66.07$31.62 to $110

How much rates vary

Facilitymedian $66 · 10th to 90th $26 to $158Professionalmedian $27 · 10th to 90th $17 to $38
$20$50$100facility $66professional $27

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$33.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$28.84
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$26.92
Typical High
$31.62
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$15.49
Median
$18.62
Typical High
$24.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Medica
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$66.07
Typical High
$158.49
Medica
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$30.20
Typical High
$54.95
United
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$31.62
Typical High
$51.29

Where Missouri sits

The same service costs 2.5 times more in Iowa than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Missouri· 38th of 51

$26.92

IA $45.71NJ $18.62

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.